空肠
肠镜检查
胃肠病学
医学
内科学
十二指肠
回肠
腹痛
无症状的
梅克尔憩室
内窥镜检查
憩室(软体动物)
作者
Ning-Hsuan Chin,Jiann–Ming Wu,Kuan‐Chih Chen,Tzong‐Hsi Lee,Cheng-Kuan Lin,Chen‐Shuan Chung
出处
期刊:Pancreas
[Ovid Technologies (Wolters Kluwer)]
日期:2022-07-01
卷期号:51 (6): 700-704
被引量:1
标识
DOI:10.1097/mpa.0000000000002061
摘要
Diagnosing pancreatic heterotopia (PH) is challenging, because it is a rare congenital anomaly. We report the case of a 66-year-old man who presented with ileus and jejunal PH diagnosed using single-balloon enteroscopy. Reviewing 178 cases of small intestinal PH in the literature showed that (1) PH mostly occurred at the duodenum (61.8%), followed by the jejunum (22.5%) and ileum (14.6%); (2) patients with ileal PH were younger (mean, 40.7 vs 54.6 years; P < 0.001), while those with jejunal PH were older (mean, 59.5 vs 51.7 years; P = 0.006); (3) most patients with jejunal PH were females, while those with duodenal or ileal PH were predominantly males (M:F = 0.8:1 vs 2.5:1; P = 0.003); (4) asymptomatic cases were rare (15.2% vs 83.4% in small and nonsmall bowel, respectively); (5) most patients with ileal PH presented with bleeding (61.5%), while the remaining had abdominal pain (42.8%); (6) emergent operation was performed in 11 cases (6.2%), mainly at the jejunum (12.5%) and Meckel's diverticulum (25%); and (7) Heinrich's classification may be inconclusive. Enteroscopy was performed in only 6 cases (3.4%), and earlier diagnosis and further minimally invasive procedures could have been achieved with enteroscopy.
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